HomeMy Public PortalAbout5641 ENCINITA AVE_Building__ '. APPLICATION FOBUILDING PERMIT
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COUNTY'& LOS ANGELES BUILDING _
DEPARTMENT- OF COUNTY ENGINEER' ADDRESS ' f
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIEC COUNTY ENGINEER' NEAREST.
COLEMAN W._JENKINSEUP:T.OF BUILDING CROSS ST.)
.. DISTRGRO Q" TYPE'
FOR'APPLICANT TO FILL IN ICT(�.�.,�, coHlsr.,TS_E1
_ J
BUILDING STATISTICAL C SIFICATIONER•MAP` 14
ADDRESS 1 2: (iLZ( G[�u< �._ K "'PG.
CLASS�NO. DW E1.L UNITS 1.
LOT NO. (j BLOCK- USE ZONE MAP ;
NO. JCL! l •, -
TRACT „Gj� SPECIAL ,.. •,
N0. 0F SLDOS. CONDITIONS
SIZE OF LOT Z. ON
USE OF
/V—c�TYL.Q� BLDG. SETBACK FROM '< <
j o-y
TEL. \ '] FRONT PROP. LINE OF (STREET)
OWNER L NO. S / 'C V TYPE OF,( EXISTING SET_BA C9 HIGHWAY•HIGHWAY } - YARD TOTAL'
ADDRESS
C� n HIGHWAY 1 F M C.L:
' ���c_
CITY 21
_ BLOG .SETBACK, _
ARCHITECT OR ' � TEL.. 910E PROP. LINEEOF OF (STREET)
ENGINEER. NO.
TYPE OF Y%ISTI NG' SETBACK 'HIGHW4Y'-} YARD - 'TOTAL
ADDRESS HIGHWAY ' WIDTH. FROM C.L S
_ TEL. _ ., } = O
CONTRACTOR NO - ' � U
LIC' ' CORNER CUTOFF _ YES NO K
ADDRESS NO.
O.
CITY " ' c G 'SEE REVERSE SIDE FOR SPECIAL` APPROVALS , U
w.
DESCRIPTION OF WORK ePd" l'li z
NEW ADD LTER REPAIR DEMOLISH. S( J
SQ,FT. NO. OF NO. OF � " 'K.a+i - 'vpA" ` 4e/TO'!e,
SIZE qSTORIES FAMILIES
USE OF
.t✓- - J,WLMIL{,YP{Y
STRUCTURE '
�S IGNATUREOF l y �,M///���I��' � a�ep1 %O3:!! '•
APPLICANT
ir
VALUATION.$/]TJ /•^ • ` 1tj` i (f�•QI
Erie APPROVALS •DATE IN9p.-VD fo_(G A}U E
ORM F
FEE.,S FEE$r FOUNDATION, LOCATION
FORMS, MATERIALS 1
FRAME, FIRE STOPS,
O '
I HEREBY ACKNWLEDGE THAT 1 HAVE APPLICATION BRACING'S OLT
AND STATE!THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION'
WITH ALL COUNTY FORD,NANCES ANO STATE LAWS REGULATING GAS VENT. DUCTS
9U ILDING CONSTRUCTION. 1 CERTIFY'THAT. IN DOING THE WORK' -
AUTHORIZED'HEREBY-IWILL NOT EMPLOY
ANY PERSON IN VIOLA- LATH. INT.
TION OF'THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S<� PENN INSUR CE. J LATH. EXT. I • /`
l SIGNATURE OF /��j///�-{-/p,�Y�(/_ HOUSE NUMBER COR-�
PERMITTEE .RE :T'AN. POSTED �-�/I,/� Ate!
ADDRESS F I NAL 9/az
'JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER -
PLAN CHECK VALIDATION " D : M.G. usH _ PERMIT VALIDATION CK. M.G. CASH
nLo.3 7.1 5 �u4.16 ? o 4.0 01
1 t
78A638A CE#803 8,63 APPLICATIO.N;• FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER. ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY `
JOHN A. LAMBIE.:COUNTY.ENGINEER NEAREST -
WILLIAM A. JENSEN, SUPT OF BVILq NG CROSS ST.
DISTR CT O. OUP TYPE CSS EO��B�Y
FOR APPLICANT TO FILL IN 5- d GRCONST ! [
BUILDING STATISTI CAL CLASSIFICATION EWER MAP':'
ADDRESS ' BK, P
CLASS. NO.�DWELL. UNITS--- � - "-. y•'
LOT NO.. / ,`C�' .BLOCK WATER ECEIVE
NOT REQUIRED RD,
CERTIFICATE: , /
TRACT C / NOP J HluH A STATE MAJOR SECOND,
-
1.
/ NO.OF SLOGS. OCAL
SIZE OF LOT G.X ! �S NOW ON LOT USE ZONE SPECIAL
USE OF I CONDITIONS
EXISTING /
TEL.
OWNER NO BUILDINGYARD HWY STREET NA E' ' EXIST.
' - SETBACK WIDTH -
ADDRESS FRONT -1
ARCHITECT OR r TEL 'P: L: /'
ENGINEER O(P NO. SIDE
ADDRESS TEL. /w'�Y/��_ � '�/!3:}/i /k..�I✓T�LJ� f Q-0if!!Ir/iG�
CONTRACTOR NO. X,."4
. ,mas „ i''x
_ ADDRESS'
..L
DESCRIPTION OF WORK _ UJ
nAe; oF"
NEW ADD LTER REPAIR - DEMOLISH
NEW ADD (57
ty SQ. FT. NO-OF NO. OF... ,� a.f i>tiv}rycY+'�'. I i./[il.%JJaii �. IZ . .
SIZE STORIES FAMILIES �f�/�/e V71-In ti ' 6 A �u�f
USE C _ ( //'yI IS�I/A(//I ,:/
STRUCTURE'
/i/d�s��/fll7 .t_vt �i^�jtiyV
SIGNATURE OF i{{��y"^""p• .L� 'e -i�{'i" [rpfa77�rj,J"l
•APPLICANT_
VALUATION $ . r J
L APPROVALSi DATE INSPECTOR'E SIGNATURE
FOUNDATION: LOCATION
FEE FEE -
P.C. PMT' I FORMS.;MATERIALS /\
$ - .$
FRAME: FIRE STOPS.
I•M TATE THAT
ACKNOWLEDGE THAT RECT HAVE,AND AGREE TO LOTION BRAC NG`BOLTSCI -
AND STATE THAT THE ABOVE SIS CORRECT AND AGREE E COMPLY FURNACE: LOCATION.,WITH -
BUIL ALL COUNTYCONSTRUCT
TIORDINANCES, I ANO STATE LAWS' REGULATING ' GAS VENT. DUCTS
AUTHORIZED
COHEREBYTI WI CERTIFY THAT IN DOING THE WORN J{y��
AUTHORIZED RLABOR I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH NT. .{r[ ( J/�/{ �
TION OF THE LABOR CODE OF THE STATE OF ALIFORNIA RELAT� _
INC-TO W.R.EN'S CO EN TION INSVRA '
LATH .EXT..
SIGNATURE OF ;'Ey HOUSE NUMBER COR- ,V
PERMITTEE RECT AND POSTED lj /
ADDRESS' I _ FINAL -
JOHN F. LEWIS. PRINCIPAL ST URAL ENGINEER '
PLAN CHECK VALIDATION CK, M.G. EAS. PERMIT' VALIDATION EK. M.o. CASH
L1io5 7 6 �-� NOV . 1 0 8.00
„ A,,,. CE«aD3'R-B3. APPLlcATLONFOR 'BUILDING PERMIT
COUNTY OF*LOS ANGELES BUILDING ^^ /
V(p /
_ DEPARTMENT OF COUNTY ENGINEERADDRESS.`
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEERNEAREST
WILLIAM A. JENSEN, SUP 61 BURDWG - CROSS ST... L (� / /'✓'
D ISTRI NO. GR P TYPE'” PFYO Fy5 ED BV
FOR APPLICANT TO FILL IN CONST:'
BUILDING• —/. J STATISTICAL CL('AASSSIFICATION'• ,;S WER:MAP
ADDRESS �YL CJ TIME LL'UNITS � •BK PG/
L CLASS. NO.
LOT NO. /' O Y• WATER' R `
NOT'REQUIRED. ,I ECEIVED') "
CERT)FICATE: I . i—�`
TRACT _ - MAP / ,HIGHWAY' -
NO' OF.BLDGS. NO. J'� .(CIRCLE) STATE'MAJOR SECOND LOCAL „
SZE,OF,LOT NOW ON LOT USE ZONE SPECIAL
USE OF - CONDITIONS,
.EXISTING BLDG.
OWNER, _ NO . �c BUILDI NGEXIST.
YARD HWY. STREET' AME`
� yap SETBACK WIDTH.:.
ADDRESS 3'� •ti - FRONT '
.ARCHITECT OR TEL. P, L -
ENGINEER' NO. SIDE
P. L.
ADDRESS r y.",.
CONTRACTO
ADDRESS 0 -
O
DESCRIPTION OF WORK
a
NEW. . DD' ALTER REPAIR DEMOLISH 4,
SQ. FT'. - NObF NO. OF
SIZE STORIES FAMILIES
USEOF
STRUCTURE ./
SIGNATURE OF ,
.APPLICANT-
VALUATION -
//�"'✓✓ APPROVALS i DATE INSPECTOR'S SIGN ATURE
P.C. PMT FOUNDATION: LOCATION'
FEE-$ FEE.$ 'FORMS. MATERIALS
FRAME: FIRE STOPS-
1 HEREBY AGKNOWL20GE THAT 1 HAVE READ THIS �1Z31 BRACING, BOLTS- ! ,
AND STATE THAT THE ABOVE.IS CORRECT AND AGREE O COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT: DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION�OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT� yyy
I NG TO WORNMcN'B COMP SATION INSURANCE / " • ' /, ^ \
/F�J _� LATH. EXT.- /
.SIGNATURE OF �/� J� '(. HOUSE NUMBER COR-
PERMITTEE A (_1 rRECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRUC URAL-ENGINEER
PLAN CHECK VALIDATION CK. M:O. .CASH PERMIT VALIDATIO cK. 'M.O. I BASH,
1,1L 7.5: 5 1 G JAN 14 1 D : 4,00-.